Individual
BREANNA KINGHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. M.S.
Contact information
Practice address
4800 SAND POINT WAY NE, A-5950, SEATTLE, WA 98105-3901
(509) 998-5860
Mailing address
4800 SAND POINT WAY NE, A-5950, SEATTLE, WA 98105-3901
(206) 987-3806
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ML 60093849
WA
2080P0214X
Pediatric Pulmonology Physician
Primary
60278632
WA
Other
Enumeration date
03/27/2009
Last updated
07/30/2018
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